Continuous Fascia Iliaca Compartment Block in Geriatric Hip Fracture

Completed

• Conditions: Acute Pain Due to Trauma; Hip Fractures

• Registration Number: NCT04914988
• Lead Sponsor: Mahidol University

Brief Summary

The patient with hip fracture who has Numerical Rating Scale (NRS) ≥ 5 at rest or on movement will be indicated for USG FICB at Emergency Department or patient's ward.

The aim of this prospective observation study was evaluated the efficacy and complications of cFICB in adult hip fracture preoperatively.

Detailed Description

The Enhance Recovery Program of pain management in geriatric hip fracture has been set up as a part of fast track at Siriraj Hospital since September 2017. The ultrasound-guided (USG) fascia iliaca compartment block (FICB) is routinely offered to patients with a hip fracture by acute pain service (APS) anesthesiologist. The patient with hip fracture who has Numerical Rating Scale (NRS) ≥ 5 at rest or on movement will be indicated for USG FICB.

The aim of this prospective observation study was evaluated the efficacy and complications of cFICB in adult hip fracture preoperatively.

Study Timeline

• Study Start: 2018-02-01
• Primary Completion: 2019-01-30
• Study Completion: 2019-02-15
• Study First Submitted: 2021-05-26
• Status Verified: 2021-06
• Study First Submitted QC: 2021-06-03
• Last Update Submitted: 2021-06-03
• Study First Posted: 2021-06-07
• Last Update Posted: 2021-06-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

• patient age equal or more than 65 years old
• patient with acute hip fracture within 7 days
• patient with NRS ≥ 5

Exclusion Criteria

• patient refusal
• history of local anesthetic allergy
• inability to communicate or cognitive dysfunction
• multiple fracture involvement

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
numerical rating scale at rest	Change from baseline numerical rating scale at 30 minutes post-block	numerical rating scale 0-10 (0=no pain, 10=worst pain)
numerical rating scale during movement	Change from baseline numerical rating scale at 30 minutes post-block	numerical rating scale 0-10 (0=no pain, 10=worst pain)

Secondary Outcome Measures

Name	Time	Method
Rate of complications of continuous fascia iliaca compartment analgesia	Within 48 hours postoperative	local anesthetic systemic toxicity, leakage, infection
Duration of hospital admission	from hospital admission until hospital discharge, an average of 1 week	number of days
Numerical rating scale during movement	Within 48 hours postoperative	numerical rating scale 0-10 (0=no pain, 10=worst pain)
Number of participants with morbidity and mortality	6 weeks after hospital discharge	myocardial disease, deep vein thrombosis, delirium, death

Trial Locations

Locations (1)

Faculty of Medicine Siriraj Hospital, Mahidol University; 🇹🇭 Bangkok, Thailand